Suture Cruroplasty Versus Mesh Hiatal Herniorrhaphy for Large Hiatal Hernias (HHs): An Updated Meta-Analysis and Systematic Review of Randomized Controlled Trials.

Surg Laparosc Endosc Percutan Tech

International Centre for Applied Climate Sciences and Centre for Health Sciences Research, School of Agricultural, Computing and Environmental Sciences, University of Southern Queensland, Toowoomba, Qld.

Published: August 2019

Background: To explore the clinical outcomes, safety and effectiveness of suture cruroplasty versus mesh repair for large hiatal hernias (HHs) by an updated meta-analysis.

Material And Methods: Randomized controlled trials evaluating the effects of these 2 treatment modalities were searched from PubMed and other electronic databases between January 1991 and July 2018. The outcome variables analyzed included operating time, complications, recurrence of HH or wrap migration, reoperation, hospital stay and quality of life.

Results: Five randomized controlled trials totaling 478 patients (suture=222, mesh=256) were analyzed. For reoperation variable, the odds ratio was significantly 3.26 times higher for the suture group. For recurrence of HH, the odds ratio for the suture group was nonsignificantly 1.65 times higher compared with the mesh group. Comparable effects were noted for all other variables.

Conclusions: Mesh repair seems to be superior to suture cruroplasty for large HH repair. Therefore, the routine use of mesh may be advantageous in selected cases.

Download full-text PDF

Source
http://dx.doi.org/10.1097/SLE.0000000000000655DOI Listing

Publication Analysis

Top Keywords

suture cruroplasty
12
randomized controlled
12
controlled trials
12
cruroplasty versus
8
versus mesh
8
large hiatal
8
hiatal hernias
8
hernias hhs
8
hhs updated
8
mesh repair
8

Similar Publications

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!